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Open Access Case report Difficulty in diagnosing the pathological nature of an acute fracture of the clavicle: a case report Address: 1 Department of Trauma & Orthopaedics, Watford Gene

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Open Access

Case report

Difficulty in diagnosing the pathological nature of an acute fracture

of the clavicle: a case report

Address: 1 Department of Trauma & Orthopaedics, Watford General Hospital, West Hertfordshire Hospitals NHS Trust, Watford, UK, 2 Department

of Medicine, Watford General Hospital, West Hertfordshire Hospitals NHS Trust, Watford, UK and 3 Department of Trauma & Orthopaedics, Barnet General Hospital, Barnet & Chase Farm Hospitals NHS Trust, Barnet, UK

Email: Sheraz S Malik* - smalik888@gmail.com; Saiqah Azad - saiqahazad@yahoo.co.uk; Shahbaz Malik - shahb.malik@gmail.com;

Caroline B Hing - caroline.hing@whht.nhs.uk

* Corresponding author

Abstract

Fractures of the clavicle comprise between 5% to10% of all fractures Medial clavicular fractures

are uncommon and are normally caused by high-energy trauma A low impact mechanism of injury

should raise suspicion of a pathological fracture, but this case report highlights the difficulty in

diagnosing the pathological nature of an acute fracture of the clavicle We describe a patient who

presented with a medial clavicular fracture after a simple fall but the fracture was diagnosed as

pathological in retrospect four months after the initial presentation We would also like to

emphasise that the medial clavicle is the most frequent site of pathological fractures of the clavicle,

and the possibility of an underlying pathological condition should be considered whenever a patient

with a medial clavicular fracture is encountered

Background

The incidence of clavicular fractures in adults is 30 per 100,

000 population per year [1] and these are one of the most

commonly encountered fractures in the accident &

emer-gency (A&E) department and orthopaedic practice [2] Most

clavicular fractures are caused by a fall or direct trauma to the

shoulder The clavicle is vulnerable to pathological fractures

from several causes such as neoplasm, infection and

meta-bolic bone disease [3] We describe a patient who presented

with a medial clavicular fracture after a trivial activity, but the

fracture was diagnosed as pathological in retrospect four

months after the initial presentation To the best of our

knowledge, the delay that can occur between the first

presen-tation of an acute clavicular fracture and recognition that it is

in fact pathological has not been specifically highlighted

pre-viously in the literature

Case presentation

Case report

A 67-year old woman presented to the A&E department complaining of pain in her left shoulder and clavicle that started whilst lifting a flowerpot in the garden She also recalled having fallen from a stepladder a few days before but denied any apparent injury resulting from this On examination, there was swelling and tenderness over the medial aspect of the left clavicle, and no associated neu-rovascular deficit The rest of the shoulder examination was normal A plain radiograph of her left shoulder revealed an undisplaced fracture of the medial clavicle (figure 1) She was placed in a broad arm sling and dis-charged from the A&E department with a follow-up appointment in the fracture clinic

Published: 25 June 2009

Journal of Orthopaedic Surgery and Research 2009, 4:21 doi:10.1186/1749-799X-4-21

Received: 10 May 2009 Accepted: 25 June 2009 This article is available from: http://www.josr-online.com/content/4/1/21

© 2009 Malik et al; licensee BioMed Central Ltd

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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One week later, the patient was reviewed in the fracture

clinic by an orthopaedic registrar who attributed the pain,

swelling and the fracture of the clavicle to the mechanism

of injury and advised follow-up in one month's time

The patient failed to attend the follow-up appointment

and was discharged from the clinic because of

non-attend-ance Four months later the patient was referred by the GP

to the orthopaedic clinic with an enlarging lump over the

fracture site In the clinic she was systemically well with no

concerning symptoms other than an enlarging swelling at

the fracture site She gave a past medical history of

hyper-tension, a left mastectomy for breast cancer eight years

ago, and admitted to smoking for many years On

exami-nation there was a large, mildly tender bony lump at the

fracture site, and a repeat radiograph of the left shoulder

revealed a large lytic lesion over the medial aspect of the

clavicle (figure 2) This was considered malignant and

urgently investigated further A computed tomography

(CT) scan of the thorax, abdomen and pelvis revealed a

right renal tumour with metastases to the lungs, liver and

bone The bone metastases were to the left clavicle and the

right ilium A further two-phase

technetium-99m-methyl-ene diphosphonate (Tc99M MDP) bone scan confirmed only two bone metastases (figure 3), and an open biopsy

of the clavicle revealed a metastatic renal cell carcinoma The patient was referred to a medical oncologist for fur-ther staging and treatment

Discussion

Medial clavicular fractures are the least common of clavic-ular fractures, comprising between 2% to 10% of all cla-vicular fractures [1,4,5] Postacchini et al found that the incidence of medial clavicular fractures increases in the elderly, comprising 2% of clavicular fractures in 18–30 years age group and 10% of clavicular fractures in 61–80 years age groups [4] All clavicular fractures are more com-mon in men, and in Robin's case series of 1000 clavicular fractures the male to female ratio for medial clavicular fracture was 3.7:1 [1] Acute medial clavicular fractures are commonly caused by high-energy trauma and are associ-ated with other multisystem injuries [5]

Renal cell carcinoma accounts for 2% of all malignancies

Up to a third of patients with renal cell carcinoma develop bone metastases [6], most of which are lytic and predom-inantly affect the axial skeleton [7] Clavicular metastases comprise 6–18% of all bone metastases from renal cell carcinoma [6-8] Swanson et al found that the symptoms secondary to bone metastases were the presenting com-plaint that subsequently led to a diagnosis of renal cell carcinoma in 121 of 252 (48%) patients [8] In their study, 37 patients presented with a pathological fracture and an additional 34 patients experienced a pathological fracture in the course of the disease

Plain radiograph of the left shoulder at the first presentation

Figure 1

Plain radiograph of the left shoulder at the first

pres-entation The radiograph demonstrates a medial clavicular

fracture (arrow) that was later diagnosed as pathological

Plain radiograph of the left shoulder taken 4 months later

Figure 2

Plain radiograph of the left shoulder taken 4 months

later The radiograph demonstrates a large lytic lesion

(arrow) over the medial aspect of the clavicle

A Tc99M MDP Bone Scan

Figure 3

A Tc99M MDP Bone Scan The bone scan demonstrates

bone metastases to the left medial clavicle and the right ilium (arrows)

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The medial clavicle is the most frequent site of

pathologi-cal fractures in the clavicle [3] A pathologipathologi-cal fracture

occurs in a bone that is not normal [9] Failure to

recog-nise and appropriately treat a pathological fracture and

the associated underlying condition can be detrimental to

the patient's life or the affected limb [9] This case report

demonstrates the difficulty in diagnosing a pathological

fracture of the clavicle The patient in this case was treated

for a primary non-pathological fracture of the clavicle and

the proper diagnosis was made four months after the

patient's initial presentation Clinicians are alert to

sus-pecting a pathological fracture in unusual circumstances

of injury in bones such as vertebrae and long bones of the

limbs However, clavicular fractures are common in all

age groups and occur due to various types of injury and

variable-energy trauma These fractures are not routinely

suspected to be pathological, unless associated with

obvi-ous clinical or radiological features of an underlying

dis-ease Therefore clavicular fractures are not routinely

investigated for an underlying pathological condition

This can result in a considerable time lag between the first

presentation of the clavicular fracture and recognition that

it is in fact pathological Furthermore, an unclear history

or a history of multiple accidents e.g falls, can confound

the actual cause of the fracture In the patient that we

described the fracture was attributed to the old fall but she

in fact had an atraumatic pathological fracture of the

clav-icle

Adeyemo et al described a similar case where a 73 year old

man was seen in A&E and then followed up in a fracture

clinic for a left medial clavicular fracture after a fall on to

the left shoulder [10] Six weeks after the first presentation

he was found to have clinical and radiological signs of

"huge callus formation" at the fracture site, and was given

a 3-month follow up appointment He was admitted to

hospital with obstructive jaundice before this, and at his

follow up appointment he was found to have a clavicle

swelling the size of an orange and complete radiological

destruction of the medial clavicle A diagnosis of

underly-ing metastatic bronchogenic carcinoma was later

estab-lished It was after over 4 months since first presentation

that the pathological nature of the clavicular fracture was

appreciated in retrospect

To the best of our knowledge, this is the first time that the

delay that can be associated with diagnosing the

patho-logical nature of an acute clavicular fracture has been

spe-cifically brought to light Adeyemo et al put this delay

down to the "compartmentalised" treatment that their

patient received from multiple health care professionals

[10], but it is now emerging that this could be a feature

common to acute pathological clavicular fractures as a

group Of course, many such fractures are diagnosed

promptly, and may not necessarily be reported in the

lit-erature However the delay that can occur is a significant one, four months or more in the two cases discussed above, and this has been highlighted with the aim of rais-ing awareness in all cases

A high index of suspicion is required to consider a clavic-ular fracture as pathological For this reason, a full medi-cal history should always be taken at the time of assessing

a patient with a fracture Information such as past medical history of carcinoma can raise a high index of suspicion of

a pathological fracture Other features in the history that could suggest a pathological fracture include a patient above the age of 45 years, multiple recent fractures or pain

at the site before the fracture [9] Such patients should also have a thorough physical examination of the upper limbs, the rest of the skeletal system to check for other affected sites, and a general examination of possible primary sites such as breast, prostate, thyroid and lymph nodes for lym-phoma [9]

The clinical finding would direct further urgent investiga-tions, and may include further imaging of the clavicle with cone views and upper rib radiographs or a CT scan to ade-quately delineate the fracture and the quality of the sur-rounding bone [11] Adjunct investigations include laboratory studies such as full blood count, erythrocyte sedimentation rate, bone profile, prostate-specific anti-gen, immunoelectrophoresis and alkaline phosphatase, urine analysis for Bence-Jones proteins, CT scan of the thorax, abdomen and pelvis, total body bone/positron emission tomography (PET) scan and biopsy of the frac-ture site and/or the primary site if appropriate [9]

It is important that patients with a suspected pathological clavicular fracture are discussed in a multi-disciplinary set-ting and reviewed for features of radiographic union, unlike the patient that we described, who was discharged after failing to attend an appointment

Conclusion

We would like to emphasize that all patients should be carefully assessed on an individual basis, including those who present with apparently common simple injuries We would also like to highlight that medial clavicular frac-tures are separate from other clavicular fracfrac-tures because these are uncommon, normally associated with high-energy trauma and occur where pathological fractures in the clavicle are most common Therefore, the possibility

of an underlying pathological condition should be con-sidered whenever a patient with a medial clavicular frac-ture is encountered

Consent

Written informed consent was obtained from the patient for publication of this case report and any accompanying

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Competing interests

The authors declare that they have no competing interests

Authors' contributions

SSM conceived the idea and wrote the paper

SA and SM analysed the notes and contributed to the

dis-cussion

CBH was responsible for editing and approving the final

manuscript

All authors read and approved the final manuscript

References

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Epidemi-ology and classification J Bone Joint Surg Br 1998, 80:476-84.

2. Kim W, McKee MD: Management of acute clavicle fractures.

Orthop Clin North Am 2008, 39:491-505.

3. Lazarus MD, Seon C: Fractures of the clavicle In Rockwood and

Green's fractures in adults 6th edition Edited by: Bucholz RW, et al.

Philadelphia, PA: Lippincott Williams & Wilkins; 2006:1211-1256

4. Postacchini F, Gumina S, De Santis P, Albo F: Epidemiology of

clav-icle fractures J Shoulder Elbow Surg 2002, 11:452-6.

5. Throckmorton T, Kuhn JE: Fractures of the medial end of the

clavicle J Shoulder Elbow Surg 2007, 16:49-54.

6. Zekri J, Ahmed N, Coleman RE, Hancock BW: The skeletal

meta-static complications of renal cell carcinoma Int J Oncol 2001,

19:379-82.

7. Swanson DA, Orovan WL, Johnson DE, Giacco G: Osseous

metas-tases secondary to renal cell carcinoma Urology 1981,

18:556-61.

8. Buzaid AC, Todd MB: Therapeutic options in renal cell

carci-noma Semin Oncol 1989, 16(1 Suppl 1):12-9.

9. Weber KL: Pathological fractures In Rockwood and Green's

frac-tures in adults 6th edition Edited by: Bucholz RW, et al Philadelphia,

PA: Lippincott Williams & Wilkins; 2006:643-666

10. Adeyemo f, Babu L, Suneja R, Ellis D: Pathological fracture of the

clavicle: a case report of an unusual presentation J Bone Joint

Surg Br 2005, 88-B(SUPP_II):302.

11. Simon RR, Sherman SC, Koenigsknecht SJ: Emergency

Orthopae-dics – The extremities 5th edition Chicago, IL: The McGraw-Hill

Companies; 2007:285-287

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